33. WHAT WOMEN WANT WHEN FACED WITH AN UNPLANNED PREGNANCY

Sexual Health ◽  
2007 ◽  
Vol 4 (4) ◽  
pp. 297 ◽  
Author(s):  
J. Michelson
Keyword(s):  
Decision Making ◽  
Health Services ◽  
Emotional Support ◽  
Online Survey ◽  
Unplanned Pregnancy ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Biological Father ◽  
Additional Information ◽  
Email Invitation

Objective: To collect data in regards to: women's experience of/desire for emotional support and information when faced with an unplanned pregnancy; women's desire for counselling to support their decision-making, and the kind of counselling they want. Methodology: 6593 women received an email invitation to complete the online survey. 2003 responded. 1022 had experienced an unplanned pregnancy, therefore qualifying. Participating women were of reproductive age, drawn nationally. Key findings published in November 2006. Summary of results: At any given time amongst a sample of women of reproductive age, just over half (51%) have experienced an unplanned pregnancy. 75% of women did not wish to speak to a counsellor before making a decision on how to proceed with an unplanned pregnancy. Parenting was the most (56%) and adoption the least (2%) popular choice for resolving an unplanned pregnancy. 81% of women said it was important that a pregnancy counsellor refer for all three options - abortion, adoption and parenting. 21% of women sought information to assist their decision-making from their spouses/partners/biological father, while their local GP was the port of call for 17% of women facing an unplanned pregnancy. 13% of women stated that they did not need to seek any additional information to assist with their decision-making. Conclusion: Unplanned pregnancy is a key health issue for Australian women. While pregnancy counselling should be available to women, it would be mistaken to see it as desired or required in all circumstances and it should be regulated. There is a need for increased resources to be directed towards lowering contraceptive failure rates, and greater access to sexual health services.

scholarly journals “Why have I not been told about this?”: a survey of experiences of and attitudes to advance decision-making amongst people with bipolar

2019 ◽  
Vol 4 ◽  
pp. 16 ◽  
Author(s):  
Guy Hindley ◽  
Lucy A. Stephenson ◽  
Alex Ruck Keene ◽  
Larry Rifkin ◽  
Tania Gergel ◽  
...  
Keyword(s):  
Mental Health ◽  
Decision Making ◽  
Mental Health Services ◽  
Health Services ◽  
Online Survey ◽  
Educational Status ◽  
Codes Of Practice ◽  
Younger Age ◽  
Health Legislation ◽  
Health Laws

Background: The idea that people with severe mental illness should be able to plan in advance for periods of illness as a means of enhancing autonomy has been long debated and is increasingly being enshrined in codes of practice and mental health legislation. It has been argued that the ethical imperative for this is especially pronounced in bipolar (BP), a condition in which sufferers often experience episodic crises interspersed with periods of wellness. However, there is a paucity of published research investigating experiences of advance decision making (ADM) in people with BP or their attitudes towards it. Methods: An online survey of BPUK’s mailing list was conducted. 932 people with BP completed the survey (response rate 5.61%). Descriptive statistics and regression analysis were conducted to compare experience of with attitudes towards ADM and variables associated with interest in ADM. Results: A majority indicated a desire to plan care in advance of losing capacity (88%) but most had not done so (64%). High numbers of respondents expressed a wish to request as well as refuse treatment and most wanted to collaborate with psychiatrists, including on issues around self-binding. The most frequent motivation to utilise ADM was a desire to be more involved in mental health decisions. Interest in self-binding was associated with experience of compulsory treatment and trust in mental health services. Interest in refusals of all medication was associated with younger age and lack of trust in mental health services. Interest in ADM in general was associated with younger age but not educational level, ethnicity or gender. Conclusions: This study demonstrates an appetite for ADM amongst people with bipolar that is independent of educational status and ethnicity. As states reform their mental health laws, attention needs to be given to the distinctive attitudes toward ADM amongst people with bipolar.

scholarly journals Inadequate Status and Low Awareness of Folate in Switzerland—A Call to Strengthen Public Health Measures to Ensure Sufficient Intakes

Nutrients ◽  
2020 ◽  
Vol 12 (12) ◽  
pp. 3729
Author(s):  
Isabelle Herter-Aeberli ◽  
Nina Wehrli ◽  
Kurt Bärlocher ◽  
Maria Andersson ◽  
Janice Sych
Keyword(s):  
Pregnant Women ◽  
Neural Tube ◽  
Neural Tube Defects ◽  
Online Survey ◽  
Elevated Risk ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Convenience Sample ◽  
Folate Concentration ◽  
Folate Status

Background: Folate plays an essential role in the prevention of neural tube defects, yet little is known about the folate status of women of reproductive age or to what degree the general population is aware of the importance of folate in early-life development. We aimed to determine folate status in women of reproductive age and pregnant women in Switzerland, and to assess folate awareness in the Swiss population. Methods: In a convenience sample of 171 women of reproductive age and 177 pregnant women throughout Switzerland, we measured red blood cell (RBC) folate concentration. In a second convenience sample (n = 784, men and women) we assessed folate knowledge with an online survey. Results: RBC folate concentration (median interquartile range) was 442 (366, 564) nmol/L in women of reproductive age and 873 (677, 1177) nmol/L in pregnant women. Folate deficiency (RBC folate <340 nmol/L) was found in 19.9% of women of reproductive age and 2.8% of pregnant women, while 91.8% of women of reproductive age and 52.0% of pregnant women showed folate concentrations indicating an elevated risk of neural tube defects (RBC folate <906 nmol/L). The online survey showed that a high proportion (≥88%) of participants were aware of folate’s role in neural tube defect (NTD) prevention and fetal development, yet knowledge about dietary sources and national recommendations of folate supplementation when planning pregnancy were limited. Conclusion: The high prevalence of folate inadequacy in Swiss women suggests an elevated risk of neural tube defects and calls for urgent measures to increase folate intakes.

scholarly journals Study of factors affecting contraceptive use among married women of reproductive Age

2014 ◽  
Vol 9 (4) ◽  
pp. 24-29
Author(s):  
N Bhandari ◽  
GK Shrestha ◽  
PC Thakuri
Keyword(s):  
Decision Making ◽  
Family Planning ◽  
Contraceptive Method ◽  
Contraceptive Use ◽  
Married Women ◽  
Reproductive Age ◽  
Modern Contraceptive ◽  
Age Group ◽  
Women Of Reproductive Age ◽  
Spousal Communication

Background The use of contraception can prevent pregnancies related complication and helps in improving the women’s health and quality of their lives. Objective To explore reproductive characteristics among married women of reproductive age. To find out method of contraceptive use and side effects among married women of reproductive age. To uncover factors related to contraceptive use among married women of reproductive age. Methods This cross-sectional was carried out among (369) married couples of reproductive age group in ward number 5, 6 and 7 of Dhulikhel Municipality using purposive sampling. Those who fell in between the age group of (14-49 years) and willing to participate were included and pregnant women were excluded from the study. Questionnaire was used to obtain informations. Results Among 369(81.3%) of the respondents of reproductive age were using a modern contraceptive method. Regarding education 331(89.5%) of women’s and 352(95.1%) of husbands were literate and 275(91.6%) of women were found to be involved in decision making and had good inter-spousal communication that is 280(93.3%). Among the temporary method of family planning, Depo-Provera was the choice 150(54.5%) of contraceptive method. Conclusion The present study put more emphasis on increase in women’s literacy, women’s involvement in decision making and inter-spousal communication which helps to promote the effective use of contraceptive methods. As women play an important role in the decision making, women should be included in all aspects of reproductive health and family planning programs. Journal of College of Medical Sciences-Nepal, 2013, Vol-9, No-4, 24-29 DOI: http://dx.doi.org/10.3126/jcmsn.v9i4.10233

Barriers to shared decision making

2021 ◽  
Vol 60 (1) ◽  
pp. 5-5
Keyword(s):  
Decision Making ◽  
Mixed Methods ◽  
Needs Assessment ◽  
Shared Decision Making ◽  
Inflammatory Disease ◽  
Chronic Inflammatory Disease ◽  
Reproductive Age ◽  
Shared Decision ◽  
Women Of Reproductive Age

AbstractOverview of: Murray S, Augustyniak M, Murase JE, et al. Barriers to shared decision-making with women of reproductive age affected by a chronic inflammatory disease: a mixed-methods needs assessment of dermatologists and rheumatologists. BMJ Open. 2021;11:e043960.

P-719 Self-declared infertility and child desire among women of reproductive age in the National Survey of Demography and Health, Brazil

2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
S Garcia ◽  
M Koyama
Keyword(s):  
Black Women ◽  
Health Services ◽  
National Survey ◽  
Demographic Data ◽  
Processing System ◽  
Public Health Problem ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Cross Sectional ◽  
Contraception Use

Abstract Study question This article aims to characterize from a socio-demographic point of view, women of reproductive age who wish to have children, declared themselves infertile, and their search for treatments and outcomes. Summary answer It is essential to develop specific population surveys on infertility in Brazil to identify its magnitude and main economic and social components. What is known already Commonly neglected in developing countries where public policy is incipient, infertility brings social, economic and psychological consequences to couples. It is considered as a serious public health problem whose impact varies among different populations and acquires relevance for specific communities. In Brazil, there are no clinical or demographic data that point us to the magnitude of the problem, its social characteristics and impact. Taking into account the postponement of motherhood for after 30 years, there will probably be an increase in the number of women and couples who may resort to infertility treatments to fulfil the desire for procreation. Study design, size, duration The National Survey of Demography and Health of Women and Children (PNDS) is a cross-sectional study and a household complex probabilistic sampling. The sampling units were selected according to a stratified model of simple random conglomerates in two stages: lottery draw and household draw. The last survey was conducted between June 2006 and May 2007 in 14,617 households. In the selected households, interviews were conducted with 15,575 women of reproductive age. Participants/materials, setting, methods The participants consisted of 15.575 women between 15 and 49 years, representative of the five Brazilian macro-regions. The information was obtained through questionnaires, applied in person, raising information on fertility, fecundity, contraception, use of health services and socioeconomic profile. The interviewer’s team was formed by approximately 100 people and 27 supervisors, all-female, divided into nine regional teams. The system used for data entry was the Census and Survey Processing System - CSPro. Main results and the role of chance The survey results indicate that of women who wish to have children, 9.2% declared themselves infertile; 50,8% of them sought health services for treatment; non-black women had higher percentages of demand compared to black women (62.4% versus 41.3%). Also, there were higher percentages of seeking help from women belonging to classes A (61.2%), B (83.3%) and C (60.9%) compared to those belonging to classes D (30.4%) and E (7.8%) On the other side, almost half of women did not seek help to get pregnant (49,1%); this percentage is higher among black women (58%). Moreover, women in classes D and E had the highest percentages of non-demand, 69.6% and 92.2%, respectively. The reasons cited for those who do not seek help, are “I think there is no solution” (54,7%); “I don’t think I can get help” (17.3%), “financial reasons” (26.8%) or “I don’t know where to get it” (1,2%). Among those who sought help, 48,5% are under treatment, 24,4 % said there is no solution; 15,8% are waiting for service and 11,3% have no money for treatment. Significance limit was established for values of p &lt; 0.05. The analysis was performed in the programs Stata v.9 and/or SPSS v.14. Limitations, reasons for caution The limitations of the study are recognized. Firstly, opinions are restricted to the moment of the interview and, thus, the desire for children may change over time. Secondly, the statement of infertility is based on self-declaration, not on clinical diagnosis. Wider implications of the findings This is the first study based on PNDS 2006 data on infertility and demand for treatments in Brazil. It can contribute to providing insights, raising new questions and discovering relevant categories and dimensions of analysis to be taken into account in future studies and surveys. Trial registration number not applicable

scholarly journals Factors Associated with Non-Use of Contraceptives among Married Women in Nepal

2019 ◽  
Vol 7 ◽  
pp. 7-18
Author(s):  
Ramesh Adhikari ◽  
Devaraj Acharya ◽  
Chhabi Lal Ranabhat ◽  
Ranju KC
Keyword(s):  
Decision Making ◽  
Family Planning ◽  
Muslim Women ◽  
Married Women ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Wealth Status ◽  
Family Planning Services ◽  
Household Decision ◽  
Socio Economic Variables

Most of the family planning services are being provided free of cost in Nepal however threat of service utilization appears unsatisfactory. This paper aims to assess the factors that are associated with non-use of family planning services among currently married women of reproductive age. The data for this paper are extracted from the Nepal Demographic and Health Survey (NDHS), 2016. Altogether 9875 currently married women of reproductive age were included in this analysis. Bivariate and multivariate analysis were performed to explore the association of socio-demographic characteristics with non-use of contraceptives. Almost a half of the sampled currently married women (47%) were non-users of contraception. Married women aged below 25 years (aOR=2.07, 95% CI 1.75-2.44) and aged 25 to 34 year (aOR=1.15, 95% CI 1.02-1.29)were more likely to not to use contraceptives compared to women aged 35 or above years. Janajati were less likely to be non-user of contraception compared to Brahmin/Chhetri (aOR=0.73, 95% CI 0.64-0.83). Muslim women were less likely to use contraception (aOR= 2.45, 95% CI 1.9-3.2) compared to Hindu women. Likewise, women who did not work currently were more likely to not use contraceptives compared to currently working women (aOR=1.47, 95% CI 1.32-1.63).Similarly, poor women were less likely to not use contraception compared to rich women (aOR=1.15, 95% CI 1.01-1.32).Similarly, women who had no autonomy were more likely to be non-user of contraceptive (aOR=1.16, 95%CI 1.01-1.32) than those how had high autonomy. Women who had not heard family planning message from TV in last few months were more likely to not use contraceptives (aOR=1.16, 95%CI 1.02-1.31) than those who had heard after controlling other socio-economic variables. Women aged less than 25 years, Muslim women, currently not working and having poor wealth status, having no autonomy in household decision making, who did not watch FP message in TV were more likely to not use contraceptive methods compared to their counter parts. Thus, family-planning-related interventions need to be more focused among younger aged women, women having no or less autonomy in decision making, poor and jobless women and Muslim women. Furthermore, women empowerment initiatives (employment opportunities) tied up with family planning programs would be beneficial to increase contraceptive uptake among married women of reproductive age.

scholarly journals Addressing the sexual and reproductive health needs of women who use mental health services

2010 ◽  
Vol 16 (4) ◽  
pp. 272-278 ◽  
Author(s):  
Carol Henshaw ◽  
Olivia Protti
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Reproductive Health ◽  
Health Services ◽  
Sexual And Reproductive Health ◽  
Health Needs ◽  
Reproductive Age ◽  
Health Issues ◽  
Women Of Reproductive Age ◽  
Reproductive And Sexual Health

SummaryPregnancies in women with serious mental illness are high risk and such women are also less likely to engage in the recommended health screening for women of reproductive age. Hence, reproductive health issues are important aspects of physical healthcare that should be assessed in women accessing mental health services. Pregnancy planning and management are crucial in reducing risk of relapse in women with affective disorders, and psychiatrists should acquaint themselves with the screening programmes and reproductive and sexual health services in their area and encourage their patients' uptake of these. Clinicians should be aware of the reproductive impact of medications and the needs of specific groups of women.

scholarly journals Intake of vitamin B12 and other characteristics of women of reproductive age on a vegan diet in Australia

2021 ◽  
pp. 1-28
Author(s):  
Amanda J. Benham ◽  
Danielle Gallegos ◽  
Katherine L. Hanna ◽  
Mary T. Hannan-Jones
Keyword(s):  
General Population ◽  
Online Survey ◽  
Cross Sectional Study ◽  
Study Data ◽  
Reproductive Age ◽  
Vegan Diet ◽  
Vitamin B ◽  
Women Of Reproductive Age ◽  
Cross Sectional ◽  
Participant Characteristics

Abstract Objective: (i) to examine demographic and health characteristics of women of reproductive age on a vegan diet in Australia and compare these to the general population, (ii) to identify sources and intake of vitamin B12, and compare intake to current recommendations (iii) examine associations between participant characteristics and adequacy of vitamin B12 intake. Design: In this cross-sectional study data was collected via an online survey. Demographic and health characteristics of women on a vegan diet were compared to women in the general population (using Australian Bureau of Statistics data). Intake of vitamin B12 was estimated using a food frequency questionnaire and estimation of supplemental intake. Setting: Australia. Participants: Participants (n1530) were women 18-44 years who had been on a vegan diet for at least six months. Results: While Body Mass Index, smoking habits and intakes of fruit and vegetables compared favourably to the general population, 26% of respondents had estimated intakes of vitamin B12 below recommendations. Analyses of relationships between vitamin B12 intake and participant characteristics revealed that the strongest predictor of intake was supplementation (p<0.001), however, 25% had not supplemented with vitamin B12 in the past three months. Conclusions: The vitamin B12 intakes of a substantial proportion of Australian women of reproductive age consuming a vegan diet do not meet the recommended intake, which could adversely affect their health, and, if they are pregnant or lactating, that of their infants too. There is a need for further research in this area to identify effective strategies to address this situation.

scholarly journals Relationship between pregnant women and their partners during COVID-19 and the role of accompanying persons during childbirth

2021 ◽  
Vol 10 (4) ◽  
pp. 1
Author(s):  
Elizabete Pumpure ◽  
Dace Rezeberga ◽  
Gunta Lazdane ◽  
Ieva Briedite ◽  
Darja Mihailova ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Online Survey ◽  
Research Question ◽  
Reproductive Age ◽  
World Health ◽  
Anxiety And Depression ◽  
Women Of Reproductive Age ◽  
Cross Sectional ◽  
Support Person

Objective: Although the World Health Organization (WHO) recommends the presence of a support person, several hospitals in Latvia have restricted the presence of supporting persons due to COVID-19. This study was conducted to understand the importance of partnership and the role of the accompanying person in childbirth in the context of COVID-19 in Latvia.Methods: A mixed method study with sequential explanatory design was conducted from 26 July to 30 October 2020. The quantitative study consisted of a behavioral cross-sectional online survey with convenience sampling. The survey items, methods, and implementation were performed as part of the I-SHARE study carried out in 33 countries, with standardized survey instruments that were focused on sexual and reproductive health issues. In Latvia it was supported by the National Research Program to lessen the effects of COVID-19. Our study analyses only one part of all data. To answer the research question besides quantitative data the qualitative study that consisted of 7 semi-structured in-depth interviews and 11 focus group discussions was integrated.Results: 1,173 people of Latvia have participated in the I-SHARE online survey. The answers of 662 women of reproductive age and 70 pregnant women have been analyzed. Pregnant women had less tension with their partners and received higher partner emotional support before the COVID-19 pandemic than other women of reproductive age, and pregnant women were less frustrated during COVID-19 than non-pregnant women of reproductive age (p < .05). More than half (61.4%) of the pregnant women felt anxiety and depression due to COVID-19 restrictions. The qualitative part of the study revealed that having a partner during childbirth was an important aspect when choosing a facility to give birth in, as the lack of an accompanying person caused anxiety and additional stress.Conclusions: COVID-19 has increased anxiety and depression among pregnant women. Birth companions should not be considered third parties, and establishing a delivery unit visitor policy is necessary to balance the benefits and risks in an evidence-based and compassionate manner.

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